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Individual
ALAN LEE MOSTOV
Active
Individual
ALAN LEE MOSTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0S0003054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82421
BCBS
FL
01
—
P00140261
RR MEDICARE
FL
Enumeration date
11/01/2006
Last updated
12/17/2009
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